Individual
MS. DALE P STEPHENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 772-4110
(207) 761-0748
Mailing address
75 WASHINGTON AVE, PORTLAND, ME 04101-2665
(207) 772-4110
(207) 761-0748
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1865
ME
Other
Enumeration date
06/09/2010
Last updated
06/09/2010
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